RESECTION-DRAINING METHOD OF SURGICAL TREATMENT OF CHRONIC CALCIFYING PANCREATITIS WITH AN UNEXPLORED MAJOR PANCREATIC DUCT

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine and surgery. Surgical treatment of chronic calcific pancreatitis is performed in the unexpanded pancreatic duct. After mobilization of the pancreas, the main pancreatic duct is opened, its revision is performed, and the stones are removed. Perform subtotal resection of the tissue of the head of the pancreas. Dissection of the parenchyma along the duodenum and scar-altered tissue along the bile duct. Bile duct is marked with biliary stent. Produce a wedge-shaped resection of the anterior part of the body and tail of the gland with excision of the main pancreatic duct. Pancreatic anastomosis connect with the medial wall of the duodenum.;EFFECT: method ensures increase in reliability of anastomoses, prevention of risk of postoperative strictures of the common biliary and pancreatic ducts, the prevention of pancreatic fistulas, purulent-septic complications, and pain syndrome.;1 cl, 3 dwg, 1 ex